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Classification of Neuropathic Facial Pain

·       Classic Trigeminal Neuralgia, type 1, (TN1): (also known as tic douloureux) facial pain of spontaneous onset with greater than 50% limited to the duration of an episode of pain (temporary pain).  TN is often caused by loss of or damage to the nerve’s protective coating, (myelin). The most widely accepted view is that myelin damage results from irritation of the nerve, usually a blood vessel that causes the nerve to be compressed.

 

·     Trigeminal Neuralgia, Type 2, (TN2): facial pain of spontaneous onset with greater than 50% as a constant pain.

 

·     Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.

 

·     Post- Herpetic Neuralgia (PHN): pain resulting from herpes zoster outbreak (SHINGLES) along the trigeminal nerve.

 

·     Trigeminal Neuropathic Pain (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc. This pain is described as dull, burning, or boring and is usually constant because the injured nerve spontaneously sends impulses to the brain. The injured nerve is also hypersensitive to stimulation, so attacks of sharp pain can also be present. The area which is sensitive to touch and triggers these sharp attacks is the same area where the pain occurs. Numbness and tingling are also signs of a damaged nerve.

 

Trigeminal Deafferentation Pain (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolsys, rhizotomy, nucleotomy, tractotomy, or other denervating procedures. Despite the loss of sensation, constant pain is felt in the numb area(s), which varies in intensity and can include sensations of burning, crawling, tingling, boring, stinging, and/or unpleasant aching.

 

  

Latest Activity

Profile IconChrisM, carol1314, Sdixon and 1 more joined TNA Facial Pain Network
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Profile IconThe Facial Pain Association via Facebook

Please make the medical professional aware of any other prescription medications,…

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Facebook23 minutes ago · Reply
marnoire and missmi123 are now friends
7 hours ago
squid replied to Kathy S's discussion Cyber Knife
"Hello,  Congradulations  for beating the monster.  I hope the post procedure…"
7 hours ago
SanLF replied to SanLF's discussion Does exercise make TN worse ?
"Thank you for your reply. Bending over and lifting things does make things worse. I will start the…"
9 hours ago
jojo01 commented on Julia N's blog post Trauma Unit 5 days after my accident
"WOW! So sorry you have this from a car accident!  I can relate in some way I hope.  I…"
14 hours ago
Profile Iconjojo01, llamallama and Julia N are attending TNNME's event
14 hours ago
jojo01 replied to squid's discussion the weather.
"YES!  The cold even '60s with overcast definitely brings on the attacks! I live in…"
14 hours ago

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Started by Cindy Ezell TNA Patient Services in Welcome! Please introduce yourself! (Add a new thread for yourself.). Last reply by Cindy Ezell TNA Patient Services 23 hours ago. 2 Replies

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